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PubMed · 8524539

Hysteroscopic sterilization.

Abstract

Despite the numerous painstaking evaluative trials that were conducted for more than two decades, hysteroscopic sterilization techniques remain more of a concept than a reality. However, it is likely that transcervical methods will continue to attract the investigator who is interested in simple, inexpensive outpatient office or female sterilization procedures in the clinic. Regardless, the cost of clinical trials, required follow-up, and preclinical toxicologic evaluations may continue to inhibit further research in this area.

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BibTeXRIS

J J Sciarra, L Keith. 1995. Hysteroscopic sterilization.. https://pubmed.ncbi.nlm.nih.gov/8524539/

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INTRODUCTION: Surgery for primary hyperparathyroidism has traditionally involved a bilateral neck exploration performed as an in-patient procedure. We present a feasibility study to demonstrate whether, with a focused surgical exploration, the procedure can be carried out as a day case. METHOD: Eighty-seven patients had pre-operative sestamibi and ultrasound scans of the neck. When the results of these scans agreed, a unilateral neck exploration was carried out. RESULTS: Sixty-seven patients received a focused approach parathyroidectomy. Ninety-seven per cent of these patients were normocalcaemic after the first operation. All patients who fitted the day-case criteria left hospital the following morning. DISCUSSION: When pre-operative imaging results agree, a parathyroidectomy can be carried out using a unilateral neck exploration, avoiding the increased risks associated with a bilateral exploration. CONCLUSION: Parathyroidectomy can be safely carried out as a day-case procedure in selected patients.

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